ArticleAmerican journal of infection control2019
Health care workers' perceptions and reported use of respiratory protective equipment: A qualitative analysis.
Article in American journal of infection control, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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Who cites it
13 citing papers in PubMed.
- Exploring the Role of Healthcare Personnel in Designing Tuberculosis Infection Prevention and Control Measures in Healthcare Settings: A Scoping Review.International journal of environmental research and public health · 2024Article
- Burdens of infection control on healthcare workers: a scoping review.The Journal of hospital infection · 2024Article
- Healthcare worker mental models of patient care tasks in the context of infection prevention and control.Infection control and hospital epidemiology · 2022Article
- State and trait anxiety among medical staff during the first month of COVID-19 pandemic: A sample from Turkey.International journal of psychiatry in medicine · 2022Article
- Respiratory Protection Perceptions among Malian Health Workers: Insights from the Health Belief Model.International journal of environmental research and public health · 2022Article
- Organisational Culture and Mask-Wearing Practices for Tuberculosis Infection Prevention and Control among Health Care Workers in Primary Care Facilities in the Western Cape, South Africa: A Qualitative Study.International journal of environmental research and public health · 2021Article
- Infection Control in the Era of COVID-19: A Narrative Review.Antibiotics (Basel, Switzerland) · 2021Review
- COVID - 19 related knowledge and preventive practices early in the outbreak among health care workers in selected public health facilities of Illu aba Bor and Buno Bedelle zones, Southwest Ethiopia.BMC infectious diseases · 2021Article
- Article
- Activities of employers and OHS services during the developing COVID-19 epidemic in Poland.Safety science · 2020Article
- Perspectives on personal protective equipment in acute care facilities during the COVID-19 pandemic.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2020Article
- Will healthcare workers improve infection prevention and control behaviors as COVID-19 risk emerges and increases, in China?Antimicrobial resistance and infection control · 2020Article
- Enablers of, and barriers to, optimal glove and mask use for routine care in the emergency department: an ethnographic study of Australian clinicians.Australasian emergency care · 2020Article
Corrections and comments
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Authors and funding
9 authors.
Funding
Abstract
backgroundLittle is known about health care workers' (HCW) perceptions of, or experiences using, respiratory protective equipment (RPE). We sought to characterize their perceptions and identify reasons underlying inappropriate use.
methodsWe conducted 12 focus groups with nurses and nursing assistants at 4 medical centers. We analyzed the thematic content of 73 discrete "stories" told by focus group participants.
resultsWe identified 5 story types surrounding RPE use: 1) policies are known and seen during work routines; 2) during protocol lapses, use is reinforced through social norms; 3) clinical experiences sometimes supersede protocol adherence; 4) when risk perception is high, we found concern regarding accessing RPE; and 5) HCWs in emergency departments were viewed as not following protocol because risk was ever-present. DISCUSSION: HCWs were aware of the importance of RPE and protocols for using it, and these supported use when protocol lapses occurred. However, protocol adherence was undermined by clinical experience, perceived risk, and the distinct context of the emergency department where patients continually arrive with incomplete or delayed diagnoses.
conclusionsProtocols, visual cues, and social norms contribute to a culture of safety. This culture can be undermined when HCWs experience diagnostic uncertainty or they mistrust the protocol and instead rely on their clinical experiences.
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